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題 名 | 在健檢時藉由改變耳鼻喉科和胃鏡檢查的順序來降低鼻咽部及喉部局部鏡檢的失敗率=Changing the Sequence of ENT Examination and Upper GI Endoscopy Can Reduce Failure Rates for Indirect Nasopharyngoscopy and Indirect Laryngoscopy in Health Examinations |
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作 者 | 吳毓祥; 何旭爵; 林英龍; 賴育民; | 書刊名 | 慈濟醫學 |
卷 期 | 15:6 2003.12[民92.12] |
頁 次 | 頁377-381 |
分類號 | 415.1、415.1 |
關鍵詞 | 健康檢查; 胃鏡檢查; 鼻咽部局部鏡檢; 喉部局部鏡檢; Health examination; Indirect nasopharyngoscopy; Indirect laryngoscopy; Upper GI endoscopy; |
語 文 | 中文(Chinese) |
中文摘要 | 目的:本研究的目的在探討健康檢查中,是否可以利用施行胃鏡檢查前對咽喉所噴灑的局部麻醉劑,來降低鼻咽部及喉部鏡檢的失敗率。材料與方法:本研究採前瞻性方式,第一部份隨機將健檢受檢者分為二組,一組尚未做過胃鏡,另一組平均在胃鏡檢查後30分鐘才執行耳鼻喉科檢查。耳鼻喉科醫師記錄鼻咽部及喉部鏡檢之失敗率。第二部份則平均於胃鏡檢查結束後2.5小時進行鏡檢,並記錄其失敗率。結果:本研究於民國91年7月至9月間進行。在第一部份的研究中,未做胃鏡組及已做胃鏡組各收集100人及93人;未做胃鏡組之鼻咽鏡檢失敗率為24%,喉部鏡檢失敗率為18%,而已做胃鏡組的鼻咽部及喉部鏡檢失敗率均可降至5.38%,此二組間的差異均具統計學意義。第二部份收集118人,其鼻咽部鏡檢失敗率為7.63%,喉部鏡檢失敗率為4.24%,此數據和未做胃鏡檢查結束後2.5個小時。若健檢時耳鼻喉科醫師將檢查時間安排於胃鏡檢查後2.5小時以內,將可大幅提高耳鼻喉科局部鏡檢的成功率。 |
英文摘要 | Objective: In health examinations, local ear, nose, and throat (ENT) examinations are crucial. With indirect nasopharyngoscopy ((IN) and indirect laryngoscopy (IL), otolaryngologists can inspect concealed nasopharynx and larynx without expensive instruments. But IN and IL cannot be performed if a hypersensitive gag reflex is encountered. In this study, the feasibility of reducing failure rates for IN and IL by topical anesthesia used in upper astronintestinal (GI) endoscopy (UGE) was evaluated. Materials and Methods: In this prospective, single-blinded study, subjects were first randomly assigned to the BE group or the AE30min group to verify the effect of UGE. Then in the second part, IN and IL were performed an average of 2.5 hours after UGE to evaluate the duration of the UGE effect. Results: The study ran from July to September 2002. Totals of 100 and 93 subjects were assigned to the BE and AE30min groups, respectively. Failure rate of IN and IL in the BE group were 24% and 18% respectively. Contrarily, failure rates in the AE30min group were significantly reduced to 5.38%. In the second part, a total of 118 examinees were assigned to the AE2.5hr group. The IN and IL failure rates were 7.63% and 4.24%, respectively. Differences between the BE and AE2.5hr groups were still significant. Conclusions: Failure rates due to the gag reflex with IN and IL in the BE group are the baseline for average subjects. These failure rates were significantly reduced in the AE group, and the effects were attributed to the topical anesthetic used in UGE. In health examinations, if IN and IL can be arranged within 2.5 hours after UGE, the success rates of IN and IL can be significantly improved. |
本系統中英文摘要資訊取自各篇刊載內容。